COVID-19 - Clinician survey

We are trying to find out more about the impact of COVID19 on patient care of those with epilepsy. Please take two minutes to complete the following questions.

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* 1. Is there currently sufficient understanding of how COVID-19 infection may present in patients with epilepsy and how COVID disease may affect seizure frequency and management?

Yes

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* 2. In what country do you live?

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* 3. If there is currently a gap in our clinical knowledge in relation to COVID and epilepsy, please list three priority areas for urgent research:

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* 4. In your experience – either through direct patient care or anecdotally through discussion with clinical colleagues – are you aware of reports of possible neurological presentations or neurological outcomes related to COVID infection, including new onset epilepsy?

Yes

Provide details below or in this ILAE case report form (https://bit.ly/3b7Og70)

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* 5. If there are concerns about neurological presentation/outcome of COVID infection, please list three areas you would consider important for further research?

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* 6. In your locality, have there been or do you anticipate any disruptions to either of the following?

access to epilepsy care

the supply of antiepileptic medication?

If yes, please highlight the problems/list the medicines that have/could be affected

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* 7. In your clinical practice, have you noticed a change in mental health, psychosocial concerns or epilepsy severity expressed by patients and/or their families/care partners?

	Yes	No
Anxiety	Anxiety Yes	Anxiety No
Depression	Depression Yes	Depression No
Suicidality	Suicidality Yes	Suicidality No
Isolation	Isolation Yes	Isolation No
Discrimination	Discrimination Yes	Discrimination No
Alcohol / Substance abuse	Alcohol / Substance abuse Yes	Alcohol / Substance abuse No
Nonadherence with antiepileptic medications	Nonadherence with antiepileptic medications Yes	Nonadherence with antiepileptic medications No
Reported changes in sleep patterns	Reported changes in sleep patterns Yes	Reported changes in sleep patterns No
Increased risks associated with seizures (e.g., SUDEP, accidents in the home)	Increased risks associated with seizures (e.g., SUDEP, accidents in the home) Yes	Increased risks associated with seizures (e.g., SUDEP, accidents in the home) No

Other (please specify)